The global burden of traumatic amputation in 204 countries and territories
BackgroundTraumatic amputation leads to disability and imposes a heavy health burden. This study aims to explore the current status and temporal trends of the global burden of traumatic amputation according to sex, age, amputation site, cause, and reginal level of social development.MethodsThe data...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-10-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1258853/full |
| _version_ | 1827788779073568768 |
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| author | Bei Yuan Dong Hu Suxi Gu Songhua Xiao Fei Song |
| author_facet | Bei Yuan Dong Hu Suxi Gu Songhua Xiao Fei Song |
| author_sort | Bei Yuan |
| collection | DOAJ |
| description | BackgroundTraumatic amputation leads to disability and imposes a heavy health burden. This study aims to explore the current status and temporal trends of the global burden of traumatic amputation according to sex, age, amputation site, cause, and reginal level of social development.MethodsThe data were extracted from the Global Burden of Diseases (GBD) Study 2019. Prevalence, incidence, years lived with disability (YLDs) and corresponding age-standardized rate were compared. Estimated annual percentage change (EAPC) was applied to reflect trends in age-standardized rates over a specific period. Spearman rank test and curve fitting methods were used to analyze the relationship between disease burden and Socio-Demographic Index (SDI).ResultsGlobally, the incidence and prevalence number of traumatic amputation increased from 11.37 million and 370.25 million in 1990, to 13.23 million and 552.45 million in 2019, with a raise of 16.4 and 49.2%, respectively. But the age-standardized incidence rate (ASIR) (EAPC = −0.56; 95%CI, −0.72 to −0.41) and age-standardize prevalence rate (ASPR) (EAPC = −0.63; 95%CI, −0.74 to −0.52) declined during this period. The YLDs count also increased by 39.2% globally (from 5.28 million to 7.35 million), while the age-standardize YLDs rate (ASYR) decreased by an average of 1.00% per year (95% CI, −1.10 to −0.90) from 1990 to 2019. The incidence, prevalence, and YLDs rate of traumatic amputation continue to increase with age. Traumatic amputations were most common in the fingers, while unilateral lower limb amputation caused the greatest burden of disability. ASIR and SDI were positively correlated (ρ = 0.442, p < 0.001), while ASYR and SDI were not significantly correlated (ρ = −0.030, p = 0.669), and EAPC in ASYR and SDI were negatively correlated (ρ = −0.275, p < 0.001). Exposure to mechanical forces and falls were the leading causes of traumatic amputation.ConclusionDespite the declining trends in ASIR, ASPR, and ASYR, the incidence, prevalence, and YLDs counts of traumatic amputation have increased significantly worldwide, especially in the older adults population. With the population aging, targeted health policies are needed to address the increasing global burden of traumatic amputations in the future. |
| first_indexed | 2024-03-11T17:10:20Z |
| format | Article |
| id | doaj.art-6ae95501d8ca4f379625e5f68082de08 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-03-11T17:10:20Z |
| publishDate | 2023-10-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Public Health |
| spelling | doaj.art-6ae95501d8ca4f379625e5f68082de082023-10-20T06:08:22ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-10-011110.3389/fpubh.2023.12588531258853The global burden of traumatic amputation in 204 countries and territoriesBei YuanDong HuSuxi GuSonghua XiaoFei SongBackgroundTraumatic amputation leads to disability and imposes a heavy health burden. This study aims to explore the current status and temporal trends of the global burden of traumatic amputation according to sex, age, amputation site, cause, and reginal level of social development.MethodsThe data were extracted from the Global Burden of Diseases (GBD) Study 2019. Prevalence, incidence, years lived with disability (YLDs) and corresponding age-standardized rate were compared. Estimated annual percentage change (EAPC) was applied to reflect trends in age-standardized rates over a specific period. Spearman rank test and curve fitting methods were used to analyze the relationship between disease burden and Socio-Demographic Index (SDI).ResultsGlobally, the incidence and prevalence number of traumatic amputation increased from 11.37 million and 370.25 million in 1990, to 13.23 million and 552.45 million in 2019, with a raise of 16.4 and 49.2%, respectively. But the age-standardized incidence rate (ASIR) (EAPC = −0.56; 95%CI, −0.72 to −0.41) and age-standardize prevalence rate (ASPR) (EAPC = −0.63; 95%CI, −0.74 to −0.52) declined during this period. The YLDs count also increased by 39.2% globally (from 5.28 million to 7.35 million), while the age-standardize YLDs rate (ASYR) decreased by an average of 1.00% per year (95% CI, −1.10 to −0.90) from 1990 to 2019. The incidence, prevalence, and YLDs rate of traumatic amputation continue to increase with age. Traumatic amputations were most common in the fingers, while unilateral lower limb amputation caused the greatest burden of disability. ASIR and SDI were positively correlated (ρ = 0.442, p < 0.001), while ASYR and SDI were not significantly correlated (ρ = −0.030, p = 0.669), and EAPC in ASYR and SDI were negatively correlated (ρ = −0.275, p < 0.001). Exposure to mechanical forces and falls were the leading causes of traumatic amputation.ConclusionDespite the declining trends in ASIR, ASPR, and ASYR, the incidence, prevalence, and YLDs counts of traumatic amputation have increased significantly worldwide, especially in the older adults population. With the population aging, targeted health policies are needed to address the increasing global burden of traumatic amputations in the future.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1258853/fullamputationdisability studyglobal burden of diseaseincidenceyears lived with disability |
| spellingShingle | Bei Yuan Dong Hu Suxi Gu Songhua Xiao Fei Song The global burden of traumatic amputation in 204 countries and territories Frontiers in Public Health amputation disability study global burden of disease incidence years lived with disability |
| title | The global burden of traumatic amputation in 204 countries and territories |
| title_full | The global burden of traumatic amputation in 204 countries and territories |
| title_fullStr | The global burden of traumatic amputation in 204 countries and territories |
| title_full_unstemmed | The global burden of traumatic amputation in 204 countries and territories |
| title_short | The global burden of traumatic amputation in 204 countries and territories |
| title_sort | global burden of traumatic amputation in 204 countries and territories |
| topic | amputation disability study global burden of disease incidence years lived with disability |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1258853/full |
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